Lanciano R M, Won M, Hanks G E
Department of Radiation Oncology, Fox Chase Cancer Center/University of Pennsylvania, Philadelphia 19111.
Cancer. 1992 Jan 15;69(2):482-7. doi: 10.1002/1097-0142(19920115)69:2<482::aid-cncr2820690235>3.0.co;2-8.
The Patterns of Care Study (PCS) database for squamous cell cancer of the uterine cervix has been used to evaluate the International Federation of Gynecology and Obstetrics (FIGO) staging system, with particular focus on the association of tumor bulk with outcome. The 1558 patients treated in the United States in 1973 and 1978 constitute the data set, and survival and in-field pelvic control were the end point of assessment. In summary, this reappraisal of the FIGO staging system for cancer of the uterine cervix showed that the current FIGO system is not discriminating within stage. This study suggests specific indicators of progressive bulk of cancer that should be considered, because they were associated with significant differences in survival rate and in-field pelvic control within Stage II and III disease.
子宫颈鳞状细胞癌的护理模式研究（PCS）数据库已被用于评估国际妇产科联合会（FIGO）的分期系统，特别关注肿瘤大小与预后的关联。1973年和1978年在美国接受治疗的1558名患者构成了数据集，生存情况和盆腔局部控制情况是评估的终点。总之，对FIGO子宫颈癌分期系统的这一重新评估表明，当前的FIGO系统在各期内没有区分度。这项研究提出了应该考虑的癌症进展程度的具体指标，因为它们与II期和III期疾病的生存率及盆腔局部控制方面的显著差异相关。
